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Understanding The Dynamics of Families With Substance Use Disorders

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1.  All the following are characteristics of a “functional” family EXCEPT?
  1. Accepts and supports member’s differences
  2. Communicates openly and directly
  3. Is highly rigid and inflexible
  4. Has well defined boundaries
2.  All the following are considered part of the Five R’s EXCEPT?
  1. Rules
  2. Rigidity
  3. Roles
  4. Reconditioning
3.  John is an alcoholic (sever Alcohol Use Disorder) and his wife Mary frequently calls his boss and states that he is “ill and cannot come to work” when he is really hung over or drunk. This is an example of:
  1. triangulation
  2. subsystems
  3. enabling
  4. dependent personality disorder
4.  Which of the following is NOT an evidence-based treatment option for families impacted by SUDs?
  1. Solution Focused Brief Therapy
  2. Psychoeducation
  3. Reality Therapy
  4. Multi-systemic Family Therapy
5.  Tom is 54y/o and has been a hard-working blue-collar laborer for most of his life. He has been a heavy drinker for years, a 12 pack or more on most days of the week. He has never missed a day of work and has never had any legal or other problems. His middle son has begun to act out at school and his grades are declining. The son may be playing the role of:
  1. troublemaker
  2. depression
  3. hero
  4. scapegoat
6.  Elevating a child to parental status is called?
  1. maturation
  2. giving responsibility
  3. dependency
  4. parentification
7.  Which of the following is a characteristic of codependency?
  1. putting your needs first
  2. being “outer” vs. “inner” directed
  3. Making time for self-care and not feeling guilty about it
  4. setting healthy boundaries with others
8.  A dysfunctional family system seeks to restore ________ when there is an attempt to change the dynamics of the family?
  1. enmeshment
  2. triangulation
  3. subsystems
  4. equilibrium
9.  The role of the hero is to?
  1. be the target of negative behavior
  2. be the “clown”
  3. be the “wallflower”
  4. be the “achiever"
10.  Rigidity is important in determining the level of dysfunction in a family because?
  1. without rigidity there would be no rules
  2. there would be too much arguing
  3. too much or too little determines dysfunction
  4. all of the above

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